| Ft. Union Dental Management | |
|
1275 E. Fort Union Blvd. Suite 200 Salt Lake City UT 84047-1884 | |
| (801) 676-8100 | |
| (801) 871-5117 |
| Full Name | Ft. Union Dental Management |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1275 E. Fort Union Blvd., Salt Lake City, Utah |
| Authorized Official Name and Position | Ernest Adam Sego (MEMBER/DENTIST) |
| Authorized Official Contact | 8016768100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft. Union Dental Management 1275 E. Fort Union Blvd. Suite 200 Salt Lake City UT 84047-1884 Ph: (801) 676-8100 | Ft. Union Dental Management 1275 E. Fort Union Blvd. Suite 200 Salt Lake City UT 84047-1884 Ph: (801) 676-8100 |
| NPI Number | 1548915309 |
|---|---|
| Provider Enumeration Date | 02/19/2022 |
| Last Update Date | 02/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548915309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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